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style="color:red">*</span>CSE出院后31天内是否重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463401977147834369" itemCode="CM-0-1-5"></div><a id="1463401977147834369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401977147834369_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463401978884276226_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401978884276226" itemCode="CM-0-2-1-1"><a id="1463401978884276226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401978884276226_Note"></span></div><div class="itemTR" id="1463401980658466818_Row" dic='[{"formItemId":1463401980658466818,"isDefault":0,"updateDate":1700444857000,"code":"M","id":1463402345369976833,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463401980658466818,"isDefault":0,"updateDate":1700444857000,"code":"F","id":1463402345994928129,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463401980658466818" itemCode="CM-0-2-1-2"></div><a id="1463401980658466818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401980658466818_Note"></span></div><div class="itemTR" id="1463401982361354242_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401982361354242" itemCode="CM-0-2-1-3"><a id="1463401982361354242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401982361354242_Note"></span></div><div class="itemTR" id="1463401984022298625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401984022298625" itemCode="CM-0-2-1-5"><a id="1463401984022298625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401984022298625_Note"></span></div><div class="itemTR" id="1463401985666465793_Row" dic='[{"formItemId":1463401985666465793,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402348427624450,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463401985666465793" itemCode="CM-0-2-2-1"></div><a id="1463401985666465793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401985666465793_Note"></span></div><div class="itemTR" id="1463401987528736770_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401987528736770" itemCode="CM-0-2-2-2"><a id="1463401987528736770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401987528736770_Note"></span></div><div class="itemTR" id="1463401989302927361_Row" dic='[{"formItemId":1463401989302927361,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402351883730946,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463401989302927361" itemCode="CM-0-2-3-1"></div><a id="1463401989302927361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401989302927361_Note"></span></div><div class="itemTR" id="1463401992146665473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401992146665473" itemCode="CM-0-2-3-2"><a id="1463401992146665473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401992146665473_Note"></span></div><div class="itemTR" id="1463401993836969985_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401993836969985" itemCode="CM-0-2-4-1"><a id="1463401993836969985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401993836969985_Note"></span></div><div class="itemTR" id="1463401995619549186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401995619549186" itemCode="CM-0-2-4-2"><a id="1463401995619549186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401995619549186_Note"></span></div><div class="itemTR" id="1463401998731722753_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-1" class="itemDescTD">入住ICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463401998731722753" itemCode="CM-0-2-5-1"><a id="1463401998731722753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463401998731722753_Note"></span></div><div class="itemTR" id="1463402000510107650_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-2" class="itemDescTD">离开ICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402000510107650" itemCode="CM-0-2-5-2"><a id="1463402000510107650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402000510107650_Note"></span></div><div class="itemTR" id="1463402002229772289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402002229772289" itemCode="CM-0-2-6-1"><a id="1463402002229772289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402002229772289_Note"></span></div><div class="itemTR" id="1463402003894910978_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402003894910978" itemCode="CM-0-2-6-2"><a id="1463402003894910978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402003894910978_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463402005673295873_Row" dic='[{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402353200742401,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402353876025345,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402355604078593,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402356279361537,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402356904312834,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402357726396418,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402358372319233,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402358993076225,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"h","id":1463402359601250305,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1463402005673295873,"isDefault":0,"updateDate":1700444857000,"code":"i","id":1463402360347836417,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402005673295873" itemCode="CM-0-3-1"><a id="1463402005673295873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402005673295873_Note"></span></div><div class="itemTR" id="1463402007351017473_Row" dic='[{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402361761316865,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402362390462466,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402363011219457,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402363652947969,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402364273704961,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463402007351017473,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402364890267649,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402007351017473" itemCode="CM-0-3-2"><a id="1463402007351017473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402007351017473_Note"></span></div><div class="itemTR" id="1463402009070682113_Row" dic='[{"formItemId":1463402009070682113,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402366140170242,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402009070682113,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402366760927233,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463402009070682113,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402367377489922,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463402009070682113,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402367989858305,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463402009070682113,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402368753221634,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402009070682113" itemCode="CM-0-3-3"><a id="1463402009070682113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402009070682113_Note"></span></div><p title="患者院前急救处理信息" class="itemsubCat">患者院前急救处理信息</p><div class="itemTR" id="1463402010735820801_Row" dic='[{"formItemId":1463402010735820801,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402370011512834,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402010735820801,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402370628075521,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-0-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否现场评估生命体征</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402010735820801" itemCode="CSE-0-4-1"></div><a id="1463402010735820801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402010735820801_Note"></span></div><div class="itemTR" id="1463402012623257601_Row" dic='[{"formItemId":1463402012623257601,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402371827646466,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402012623257601,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402372423237633,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-0-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否现场记录发作开始时间</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402012623257601" itemCode="CSE-0-4-2"></div><a id="1463402012623257601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402012623257601_Note"></span></div><div class="itemTR" id="1463402014347116546_Row" dic='[{"formItemId":1463402014347116546,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402373673140225,"indNo":1,"isActive":1,"desc":"吸氧保持呼吸道通畅"},{"formItemId":1463402014347116546,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402374457475073,"indNo":2,"isActive":1,"desc":"心电监测生命体征"},{"formItemId":1463402014347116546,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402375107592193,"indNo":3,"isActive":1,"desc":"开放静脉"},{"formItemId":1463402014347116546,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402375711571969,"indNo":4,"isActive":1,"desc":"测血糖"}]'><div style="display:inline-block;width:35%;" title="CSE-0-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>现场急救维持生命体征稳定</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402014347116546" itemCode="CSE-0-4-3"></div><a id="1463402014347116546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402014347116546_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('CSE-1:急诊救治绿色通道使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-1:急诊救治绿色通道使用情况</div><div title="CSE-1:急诊救治绿色通道使用情况"><p title="首诊医师接诊" class="itemsubCat">首诊医师接诊</p><div class="itemTR" id="1463402016020643841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>本院首诊医师接诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402016020643841" itemCode="CSE-1-1-1"><a id="1463402016020643841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402016020643841_Note"></span></div><div class="itemTR" id="1463402017727725569_Row" dic='[{"formItemId":1463402017727725569,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402376948891649,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402017727725569,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402377594814465,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往诊断过癫痫</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402017727725569" itemCode="CSE-1-1-2"></div><a id="1463402017727725569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402017727725569_Note"></span></div><div class="itemTR" id="1463402019388669953_Row" dic='[{"formItemId":1463402019388669953,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402378970546178,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402019388669953,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402379578720258,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否服用过抗癫痫药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402019388669953" itemCode="CSE-1-1-3"></div><a id="1463402019388669953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402019388669953_Note"></span></div><div class="itemTR" id="1463402021108334593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估发作起始日期</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402021108334593" itemCode="CSE-1-1-4"><a id="1463402021108334593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402021108334593_Note"></span></div><p title="进入急诊救治绿色通道" class="itemsubCat">进入急诊救治绿色通道</p><div class="itemTR" id="1463402023180320769_Row" dic='[{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402380841205762,"indNo":1,"isActive":1,"desc":"生命体征监测"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402381457768449,"indNo":2,"isActive":1,"desc":"鼻道管或面罩吸氧"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402382078525441,"indNo":3,"isActive":1,"desc":"静脉通路建立"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402382858665985,"indNo":4,"isActive":1,"desc":"血常规、血糖、血生化、动脉血气分析"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402383508783105,"indNo":5,"isActive":1,"desc":"血、尿药物浓度或毒物筛查"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402384121151490,"indNo":6,"isActive":1,"desc":"心电图"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402384720936962,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1463402023180320769,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402385320722434,"indNo":8,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>绿色通道中观察期所采取的紧急救治措施</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402023180320769" itemCode="CSE-1-2-1"></div><a id="1463402023180320769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402023180320769_Note"></span></div><div class="itemTR" id="1463402024925151233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其它绿色通道中观察期所可采取的紧急救治措施</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402024925151233" itemCode="CSE-1-2-1-1"><a id="1463402024925151233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402024925151233_Note"></span></div><div class="itemTR" id="1463402026644815873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成紧急救治措施的日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402026644815873" itemCode="CSE-1-2-2"><a id="1463402026644815873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402026644815873_Note"></span></div><div class="itemTR" id="1463402028431589377_Row" dic='[{"formItemId":1463402028431589377,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402386549653505,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402028431589377,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402387170410497,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施严重程度STESS评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402028431589377" itemCode="CSE-1-2-3"></div><a id="1463402028431589377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402028431589377_Note"></span></div><div class="itemTR" id="1463402030159642625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成评估日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402030159642625" itemCode="CSE-1-2-4"><a id="1463402030159642625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402030159642625_Note"></span></div><div class="itemTR" id="1463402032021913602_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施严重程度STESS评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402032021913602" itemCode="CSE-1-2-5"><a id="1463402032021913602_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402032021913602_Note"></span></div><div class="itemTR" id="1463402033737383937_Row" dic='[{"formItemId":1463402033737383937,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402388399341569,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402033737383937,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402389011709954,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施EMSE评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402033737383937" itemCode="CSE-1-2-3-1"></div><a id="1463402033737383937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402033737383937_Note"></span></div><div class="itemTR" id="1463402035574489089_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成评估日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402035574489089" itemCode="CSE-1-2-3-2"><a id="1463402035574489089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402035574489089_Note"></span></div><div class="itemTR" id="1463402037289959426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施严重程度EMSE评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402037289959426" itemCode="CSE-1-2-3-3"><a id="1463402037289959426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402037289959426_Note"></span></div><div class="itemTR" id="1463402039085121538_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>呼吸(单位:次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402039085121538" itemCode="CSE-1-2-6-1"><a id="1463402039085121538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402039085121538_Note"></span></div><div class="itemTR" id="1463402040796397569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脉搏(单位:次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402040796397569" itemCode="CSE-1-2-6-2"><a id="1463402040796397569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402040796397569_Note"></span></div><div class="itemTR" id="1463402042595753986_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收缩压(单位:mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402042595753986" itemCode="CSE-1-2-6-3"><a id="1463402042595753986_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402042595753986_Note"></span></div><div class="itemTR" id="1463402044281864194_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>舒张压(单位:mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402044281864194" itemCode="CSE-1-2-6-4"><a id="1463402044281864194_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402044281864194_Note"></span></div><div class="itemTR" id="1463402046727143426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>身高(单位:厘米(cm))</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402046727143426" itemCode="CSE-1-2-6-5"><a id="1463402046727143426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402046727143426_Note"></span></div><div class="itemTR" id="1463402048593608705_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>体重(单位:公斤(kg))</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402048593608705" itemCode="CSE-1-2-6-6"><a id="1463402048593608705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402048593608705_Note"></span></div><div class="itemTR" id="1463402050430713857_Row" dic='[{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402390244835330,"indNo":1,"isActive":1,"desc":"筛查血/尿丙戊酸钠药物浓度"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402391272439810,"indNo":2,"isActive":1,"desc":"筛查血/尿苯巴比妥浓度"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402391889002497,"indNo":3,"isActive":1,"desc":"筛查血/尿卡马西平浓度"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402392513953794,"indNo":4,"isActive":1,"desc":"筛查血/尿苯妥英钠浓度"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402393126322178,"indNo":5,"isActive":1,"desc":"筛查其他药物浓度"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402393839353857,"indNo":6,"isActive":1,"desc":"未使用抗癫痫药物，无需筛查"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402396888612865,"indNo":7,"isActive":1,"desc":"未进行筛查"},{"formItemId":1463402050430713857,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402397639393281,"indNo":8,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行血/尿药物浓度筛查</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402050430713857" itemCode="CSE-1-2-7"></div><a id="1463402050430713857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402050430713857_Note"></span></div><div class="itemTR" id="1463402052280401922_Row" dic='[{"formItemId":1463402052280401922,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402398956404737,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-8-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物浓度筛查报告日期时间是否确定</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402052280401922" itemCode="CSE-1-2-8-1"></div><a id="1463402052280401922_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402052280401922_Note"></span></div><div class="itemTR" id="1463402054415302657_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物浓度筛查报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402054415302657" itemCode="CSE-1-2-8"><a id="1463402054415302657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402054415302657_Note"></span></div><div class="itemTR" id="1463402056348876801_Row" dic='[{"formItemId":1463402056348876801,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402400348913666,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402056348876801,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402400948699138,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行毒物筛查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402056348876801" itemCode="CSE-1-2-9"></div><a id="1463402056348876801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402056348876801_Note"></span></div><div class="itemTR" id="1463402058097901569_Row" dic='[{"formItemId":1463402058097901569,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402402177630210,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402058097901569,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402402794192897,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次心电图（ECG）检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402058097901569" itemCode="CSE-1-2-10"></div><a id="1463402058097901569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402058097901569_Note"></span></div><div class="itemTR" id="1463402059838537729_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402059838537729" itemCode="CSE-1-2-11"><a id="1463402059838537729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402059838537729_Note"></span></div><div class="itemTR" id="1463402061537230849_Row" dic='[{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"def","matchRule":"","updateUser":"admin","id":1463402404094427138,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"a","matchRule":"","updateUser":"admin","id":1463402404698406914,"indNo":2,"isActive":1,"keyword":"(房颤|房扑)","desc":"房颤/房扑"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"b","matchRule":"","updateUser":"admin","id":1463402405302386690,"indNo":3,"isActive":1,"keyword":"左束支","desc":"新发LBBB"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"c","matchRule":"","updateUser":"admin","id":1463402405910560769,"indNo":4,"isActive":1,"keyword":"ST段抬高","desc":"ST段抬高心肌梗死"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"d","matchRule":"","updateUser":"admin","id":1463402406522929153,"indNo":5,"isActive":1,"keyword":"","desc":"非ST段抬高心肌梗死"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"e","matchRule":"","updateUser":"admin","id":1463402407147880450,"indNo":6,"isActive":1,"keyword":"","desc":"正常或大致正常ECG"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"oth","matchRule":"","updateUser":"admin","id":1463402407995129858,"indNo":7,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1463402061537230849,"isDefault":0,"updateDate":1704445503000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463402408615886850,"indNo":8,"isActive":1,"keyword":"","desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-1-2-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心电图（ECG）检查结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402061537230849" itemCode="CSE-1-2-12"><a id="1463402061537230849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402061537230849_Note"></span></div><div class="itemTR" id="1463402063231729665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-1-2-12-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他心电图（ECG）检查结果选择</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402063231729665" itemCode="CSE-1-2-12-1"><a id="1463402063231729665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402063231729665_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('CSE-2: 初始治疗方案')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-2: 初始治疗方案</div><div title="CSE-2: 初始治疗方案"><p title="第一阶段（5-20min) 初始治疗" class="itemsubCat">第一阶段（5-20min) 初始治疗</p><div class="itemTR" id="1463402065257578498_Row" dic='[{"formItemId":1463402065257578498,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402409844817922,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402065257578498,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402410457186305,"indNo":2,"isActive":1,"desc":"静脉注射地西泮"},{"formItemId":1463402065257578498,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402411073748994,"indNo":3,"isActive":1,"desc":"肌肉注射咪达唑仑"}]'><div style="display:inline-block;width:35%;" title="CSE-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>初始治疗选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402065257578498" itemCode="CSE-2-1-1"><a id="1463402065257578498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402065257578498_Note"></span></div><div class="itemTR" id="1463402066981437441_Row" dic='[{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402412298485762,"indNo":1,"isActive":1,"desc":"劳拉西泮"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402413070237698,"indNo":2,"isActive":1,"desc":"地西泮"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402416182411265,"indNo":3,"isActive":1,"desc":"苯妥英钠"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402417004494850,"indNo":4,"isActive":1,"desc":"丙戊酸"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402417696555010,"indNo":5,"isActive":1,"desc":"左乙拉西坦"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402418405392385,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402066981437441,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402419030343682,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>有静脉通路：静脉注射地西泮</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402066981437441" itemCode="CSE-2-1-2"></div><a id="1463402066981437441_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402066981437441_Note"></span></div><div class="itemTR" id="1463402068772405249_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他有静脉通路</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402068772405249" itemCode="CSE-2-1-2-1"><a id="1463402068772405249_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402068772405249_Note"></span></div><div class="itemTR" id="1463402070471098369_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>静脉注射时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402070471098369" itemCode="CSE-2-1-3"><a id="1463402070471098369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402070471098369_Note"></span></div><div class="itemTR" id="1463402072278843393_Row" dic='[{"formItemId":1463402072278843393,"isDefault":0,"updateDate":1704449240000,"code":"def","matchRule":"","updateUser":"admin","id":1463402421735669761,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463402072278843393,"isDefault":0,"updateDate":1704449240000,"code":"a","matchRule":"","updateUser":"admin","id":1463402422427729922,"indNo":2,"isActive":1,"keyword":"10mg","desc":"常规剂量10mg"},{"formItemId":1463402072278843393,"isDefault":1,"updateDate":1704449240000,"code":"oth","matchRule":"","updateUser":"admin","id":1463402423077847041,"indNo":3,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1463402072278843393,"isDefault":0,"updateDate":1704449240000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463402423727964161,"indNo":4,"isActive":1,"keyword":"","desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>无静脉通路:肌肉注射米达唑仑</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402072278843393" itemCode="CSE-2-1-4"><a id="1463402072278843393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402072278843393_Note"></span></div><div class="itemTR" id="1463402073973342210_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他无静脉通路</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402073973342210" itemCode="CSE-2-1-4-1"><a id="1463402073973342210_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402073973342210_Note"></span></div><div class="itemTR" id="1463402075680423938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌肉注射时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402075680423938" itemCode="CSE-2-1-5"><a id="1463402075680423938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402075680423938_Note"></span></div><p title="初始治疗后终止发作" class="itemsubCat">初始治疗后终止发作</p><div class="itemTR" id="1463402077676912642_Row" dic='[{"formItemId":1463402077676912642,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402425518931969,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402077676912642,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402426118717442,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-2-2-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否达到终止标准</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402077676912642" itemCode="CSE-2-2-0"></div><a id="1463402077676912642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402077676912642_Note"></span></div><div class="itemTR" id="1463402079442714626_Row" dic='[{"formItemId":1463402079442714626,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402427372814338,"indNo":1,"isActive":1,"desc":"临床发作停止"},{"formItemId":1463402079442714626,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402427985182722,"indNo":2,"isActive":1,"desc":"脑电图痫样放电消失"},{"formItemId":1463402079442714626,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402429025370113,"indNo":3,"isActive":1,"desc":"患者意识恢复"},{"formItemId":1463402079442714626,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402429683875841,"indNo":4,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>达到终止标准依据</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402079442714626" itemCode="CSE-2-2-1"></div><a id="1463402079442714626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402079442714626_Note"></span></div><div class="itemTR" id="1463402081107853314_Row" dic='[{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402430967332866,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402431588089857,"indNo":2,"isActive":1,"desc":"慢波"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402432225624065,"indNo":3,"isActive":1,"desc":"尖波/棘波"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402433316143105,"indNo":4,"isActive":1,"desc":"尖慢/棘慢复合波"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402433932705793,"indNo":5,"isActive":1,"desc":"正常或大致正常EEG"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402434591211521,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402081107853314,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402435199385602,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脑电图（EEG）检查结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402081107853314" itemCode="CSE-2-2-2"><a id="1463402081107853314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402081107853314_Note"></span></div><div class="itemTR" id="1463402082793963522_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他脑电图（EEG）检查结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402082793963522" itemCode="CSE-2-2-2-1"><a id="1463402082793963522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402082793963522_Note"></span></div><div class="itemTR" id="1463402084484268033_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗后发作缓解时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402084484268033" itemCode="CSE-2-2-3"><a id="1463402084484268033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402084484268033_Note"></span></div><div class="itemTR" id="1463402086174572546_Row" dic='[{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402436449288193,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402437380423682,"indNo":2,"isActive":1,"desc":"同种药物继续肌注"},{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402438055706625,"indNo":3,"isActive":1,"desc":"同种药物继续囗服"},{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402438747766785,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402439553073153,"indNo":5,"isActive":1,"desc":"未进行过渡治疗"},{"formItemId":1463402086174572546,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402440383545345,"indNo":6,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-2-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>终止发作后是否进行过渡治疗</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402086174572546" itemCode="CSE-2-2-4"><a id="1463402086174572546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402086174572546_Note"></span></div><div class="itemTR" id="1463402087835516930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-2-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他终止发作后是否进行过渡治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402087835516930" itemCode="CSE-2-2-4-1"><a id="1463402087835516930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402087835516930_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('CSE-3: 初始方案评价失败后第二阶段静脉治疗方案')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-3: 初始方案评价失败后第二阶段静脉治疗方案</div><div title="CSE-3: 初始方案评价失败后第二阶段静脉治疗方案"><p title="初始方案评价失败给予第二阶段（20-40min) 静脉治疗" class="itemsubCat">初始方案评价失败给予第二阶段（20-40min) 静脉治疗</p><div class="itemTR" id="1463402089513238530_Row" dic='[{"formItemId":1463402089513238530,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402441637642241,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402089513238530,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402443218894849,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施初始治疗失败</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402089513238530" itemCode="CSE-3-1-1"></div><a id="1463402089513238530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402089513238530_Note"></span></div><div class="itemTR" id="1463402091195154433_Row" dic='[{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402444456214530,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402445110525954,"indNo":2,"isActive":1,"desc":"丙戊酸钠：15-45mg/kg(<6mg/kg.min)给药时间5min"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402445752254466,"indNo":3,"isActive":1,"desc":"苯巴比妥：15-20mg/kg(50-100mg/min)"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402446410760193,"indNo":4,"isActive":1,"desc":"苯妥英钠：18mg/kg(<50m/min)"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402447002157057,"indNo":5,"isActive":1,"desc":"左乙拉西坦：1000-3000mg"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402447740354561,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402091195154433,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402448403054594,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>给予第二阶段（20-40min) 静脉治疗</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402091195154433" itemCode="CSE-3-1-2"><a id="1463402091195154433_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402091195154433_Note"></span></div><div class="itemTR" id="1463402092973539330_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-3-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他第二阶段（20-40min) 静脉治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402092973539330" itemCode="CSE-3-1-2-1"><a id="1463402092973539330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402092973539330_Note"></span></div><div class="itemTR" id="1463402094684815361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-3-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>静脉治疗时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402094684815361" itemCode="CSE-3-1-3"><a id="1463402094684815361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402094684815361_Note"></span></div><p title="第二阶段静脉治疗后终止发作" class="itemsubCat">第二阶段静脉治疗后终止发作</p><div class="itemTR" id="1463402096714858498_Row" dic='[{"formItemId":1463402096714858498,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402450735087618,"indNo":1,"isActive":1,"desc":"临床发作停止"},{"formItemId":1463402096714858498,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402451330678786,"indNo":2,"isActive":1,"desc":"脑电图痫样放电消失"},{"formItemId":1463402096714858498,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402451947241473,"indNo":3,"isActive":1,"desc":"患者意识恢复"},{"formItemId":1463402096714858498,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402452567998465,"indNo":4,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否达到终止标准</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402096714858498" itemCode="CSE-3-2-1"></div><a id="1463402096714858498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402096714858498_Note"></span></div><div class="itemTR" id="1463402098447106050_Row" dic='[{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402453780152321,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402454392520705,"indNo":2,"isActive":1,"desc":"慢波"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402455013277698,"indNo":3,"isActive":1,"desc":"尖波/棘波"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402455625646081,"indNo":4,"isActive":1,"desc":"尖慢/棘慢复合波"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402456242208770,"indNo":5,"isActive":1,"desc":"正常或大致正常EEG"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402456867160065,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402098447106050,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402457483722753,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-3-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脑电图（EEG）检查结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402098447106050" itemCode="CSE-3-2-2"><a id="1463402098447106050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402098447106050_Note"></span></div><div class="itemTR" id="1463402100091273217_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-3-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他脑电图（EEG）检查结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402100091273217" itemCode="CSE-3-2-2-1"><a id="1463402100091273217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402100091273217_Note"></span></div><div class="itemTR" id="1463402101815132161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-3-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗后发作缓解时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402101815132161" itemCode="CSE-3-2-3"><a id="1463402101815132161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402101815132161_Note"></span></div><div class="itemTR" id="1463402103471882241_Row" dic='[{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402460587507713,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402461199876098,"indNo":2,"isActive":1,"desc":"同种药物继续肌注"},{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402461845798913,"indNo":3,"isActive":1,"desc":"同种药物继续囗服"},{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402462458167298,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402463078924289,"indNo":5,"isActive":1,"desc":"未进行过渡治疗"},{"formItemId":1463402103471882241,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402463703875585,"indNo":6,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-3-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>终止发作后是否进行过渡治疗</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402103471882241" itemCode="CSE-3-2-4"><a id="1463402103471882241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402103471882241_Note"></span></div><div class="itemTR" id="1463402105166381058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-3-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他终止发作后是否进行过渡治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402105166381058" itemCode="CSE-3-2-4-1"><a id="1463402105166381058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402105166381058_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('CSE-4: 难治性癫痫持续状态麻醉药物应用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-4: 难治性癫痫持续状态麻醉药物应用情况</div><div title="CSE-4: 难治性癫痫持续状态麻醉药物应用情况"><p title="难治性癫痫持续状态麻醉药物应用" class="itemsubCat">难治性癫痫持续状态麻醉药物应用</p><div class="itemTR" id="1463402106969931777_Row" dic='[{"formItemId":1463402106969931777,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402464999915522,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402106969931777,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402465629061122,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>第二阶段静脉治疗失败</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402106969931777" itemCode="CSE-4-1-1"></div><a id="1463402106969931777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402106969931777_Note"></span></div><div class="itemTR" id="1463402108869951489_Row" dic='[{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402466933489666,"indNo":1,"isActive":1,"desc":"转入ICU"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402467537469441,"indNo":2,"isActive":1,"desc":"气管插管/机械通气"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402468133060610,"indNo":3,"isActive":1,"desc":"持续脑电监测"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402468732846082,"indNo":4,"isActive":1,"desc":"静脉给药: 咪达唑仑：0.2mg/kg负荷量静注，后续静脉泵注(0.05-0.40mg/(kg.h))"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402469357797378,"indNo":5,"isActive":1,"desc":"静脉给药: 丙泊酚：2mg/kg负荷静注，可追加1-2mg/kg直至发作控制，然后1-10mg/(kg.h)维持(持续应用可能导致丙泊酚输注综合征)"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402469978554369,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402108869951489,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402470972604418,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-4-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>给予第三阶段（40-60min) 治疗</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402108869951489" itemCode="CSE-4-1-2"></div><a id="1463402108869951489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402108869951489_Note"></span></div><div class="itemTR" id="1463402110728028161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他第三阶段（40-60min) 治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402110728028161" itemCode="CSE-4-1-2-1"><a id="1463402110728028161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402110728028161_Note"></span></div><div class="itemTR" id="1463402112527384577_Row" dic='[{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402472247672833,"indNo":1,"isActive":1,"desc":"静脉用氯胺酮"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402473455632386,"indNo":2,"isActive":1,"desc":"吸入性麻醉剂"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402474076389378,"indNo":3,"isActive":1,"desc":"电休克"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402474697146370,"indNo":4,"isActive":1,"desc":"低温"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402475309514753,"indNo":5,"isActive":1,"desc":"生酮饮食"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402475926077441,"indNo":6,"isActive":1,"desc":"经颅磁剌激"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"h","id":1463402476542640130,"indNo":7,"isActive":1,"desc":"外科手术"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"i","id":1463402477155008514,"indNo":8,"isActive":1,"desc":"免疫调节"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402477788348417,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1463402112527384577,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402478409105409,"indNo":10,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-4-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>super-RSE治疗</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402112527384577" itemCode="CSE-4-1-3"></div><a id="1463402112527384577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402112527384577_Note"></span></div><div class="itemTR" id="1463402116008656897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他super-RSE治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402116008656897" itemCode="CSE-4-1-3-1"><a id="1463402116008656897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402116008656897_Note"></span></div><div class="itemTR" id="1463402114284797954_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>外科手术</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402114284797954" itemCode="CSE-4-1-3-2"><a id="1463402114284797954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402114284797954_Note"></span></div><div class="itemTR" id="1463402117736710145_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>进入难治性癫痫持续状态RSE治疗时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402117736710145" itemCode="CSE-4-1-4"><a id="1463402117736710145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402117736710145_Note"></span></div><p title="第三阶段治疗后RSE终止发作" class="itemsubCat">第三阶段治疗后RSE终止发作</p><div class="itemTR" id="1725343792581591041_Row" dic='[{"formItemId":1725343792581591041,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1725343822663139330,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725343792581591041,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1725343822709276674,"indNo":2,"isActive":1,"desc":"临床发作停止"},{"formItemId":1725343792581591041,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1725343822755414018,"indNo":3,"isActive":1,"desc":"脑电图痫样放电消失患者意识恢复"},{"formItemId":1725343792581591041,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1725343822814134273,"indNo":4,"isActive":1,"desc":"患者意识恢复"},{"formItemId":1725343792581591041,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1725343822902214657,"indNo":5,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-4-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否达到终止标准</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725343792581591041" itemCode="CSE-4-2-1-2"><a id="1725343792581591041_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725343792581591041_Note"></span></div><div class="itemTR" id="1463402121134096385_Row" dic='[{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402484792836098,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402485388427266,"indNo":2,"isActive":1,"desc":"慢波"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402486046932994,"indNo":3,"isActive":1,"desc":"尖波/棘波"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402486701244417,"indNo":4,"isActive":1,"desc":"尖慢/棘慢复合波"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402487699488769,"indNo":5,"isActive":1,"desc":"正常或大致正常EEG"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402488307662849,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1463402121134096385,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402488920031234,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-4-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脑电图（EEG）检查结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402121134096385" itemCode="CSE-4-2-2"><a id="1463402121134096385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402121134096385_Note"></span></div><div class="itemTR" id="1463402122799235074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他脑电图（EEG）检查结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402122799235074" itemCode="CSE-4-2-2-1"><a id="1463402122799235074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402122799235074_Note"></span></div><div class="itemTR" id="1463402124476956674_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗后发作缓解时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402124476956674" itemCode="CSE-4-2-3"><a id="1463402124476956674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402124476956674_Note"></span></div><div class="itemTR" id="1463402126184038401_Row" dic='[{"formItemId":1463402126184038401,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402490274791426,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402126184038401,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402490891354113,"indNo":2,"isActive":1,"desc":"持续脑电图监测 ，痫样放电消失后24-48h"},{"formItemId":1463402126184038401,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402491906375681,"indNo":3,"isActive":1,"desc":"持续静脉用药24-48h"},{"formItemId":1463402126184038401,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402492522938370,"indNo":4,"isActive":1,"desc":"其他"},{"formItemId":1463402126184038401,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402493114335234,"indNo":5,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-4-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>RSE终止发作后是否进行过渡治疗</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402126184038401" itemCode="CSE-4-2-4"><a id="1463402126184038401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402126184038401_Note"></span></div><div class="itemTR" id="1463402127886925826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-4-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他RSE终止发作后是否进行过渡治疗</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402127886925826" itemCode="CSE-4-2-4-1"><a id="1463402127886925826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402127886925826_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('CSE-5: 入ICU和提供相应生命支持情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-5: 入ICU和提供相应生命支持情况</div><div title="CSE-5: 入ICU和提供相应生命支持情况"><p title="进入ICU提供相应生命支持" class="itemsubCat">进入ICU提供相应生命支持</p><div class="itemTR" id="1463402129581424641_Row" dic='[{"formItemId":1463402129581424641,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402494360043522,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463402129581424641,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402494993383425,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463402129581424641,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402495639306242,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进入ICU提供相应生命支持</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402129581424641" itemCode="CSE-5-1-1"><a id="1463402129581424641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402129581424641_Note"></span></div><div class="itemTR" id="1463402131288506369_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-1-2" class="itemDescTD">入住ICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402131288506369" itemCode="CSE-5-1-2"><a id="1463402131288506369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402131288506369_Note"></span></div><div class="itemTR" id="1463402132903313409_Row" dic='[{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402496855654402,"indNo":1,"isActive":1,"desc":"生命体征监测（T、P、R、Bp、SaO2、ECG）"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402497451245569,"indNo":4,"isActive":1,"desc":"持续脑电图监测"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402498139111425,"indNo":5,"isActive":1,"desc":"气管插管"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402498873114625,"indNo":6,"isActive":1,"desc":"呼吸功能支持--无创正压通气"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402499527426050,"indNo":7,"isActive":1,"desc":"呼吸功能支持--有创机械通气"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402500286595074,"indNo":8,"isActive":1,"desc":"循环功能支持"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402500940906497,"indNo":9,"isActive":1,"desc":"肝功能支持"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"h","id":1463402502731874305,"indNo":10,"isActive":1,"desc":"胃肠功能支持"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"i","id":1463402503373602817,"indNo":11,"isActive":1,"desc":"骨髓功能支持"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"l","id":1463402505265233922,"indNo":12,"isActive":1,"desc":"AEDs血药浓度监测"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402505890185218,"indNo":13,"isActive":1,"desc":"其他"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"m","id":1725343824038871041,"indNo":2,"isActive":1,"desc":"电解质分析"},{"formItemId":1463402132903313409,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1725343824080814082,"indNo":3,"isActive":1,"desc":"血气分析"}]'><div style="display:inline-block;width:35%;" title="CSE-5-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>提供相应生命支持</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402132903313409" itemCode="CSE-5-1-3"></div><a id="1463402132903313409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402132903313409_Note"></span></div><div class="itemTR" id="1463402134610395138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他提供相应生命支持</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402134610395138" itemCode="CSE-5-1-3-1"><a id="1463402134610395138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402134610395138_Note"></span></div><p title="无创正压通气（NIV）" class="itemsubCat">无创正压通气（NIV）</p><div class="itemTR" id="1463402136460083202_Row" dic='[{"formItemId":1463402136460083202,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402507320442881,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463402136460083202,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402509119799297,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463402136460083202,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402509916717058,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施无创正压通气（NIPPV）</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402136460083202" itemCode="CSE-5-2-1"><a id="1463402136460083202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402136460083202_Note"></span></div><div class="itemTR" id="1463402138141999106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者无创正压通气起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402138141999106" itemCode="CSE-5-2-2"><a id="1463402138141999106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402138141999106_Note"></span></div><div class="itemTR" id="1463402139811332098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者无创正压通气终止日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402139811332098" itemCode="CSE-5-2-3"><a id="1463402139811332098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402139811332098_Note"></span></div><div class="itemTR" id="1463402141476470786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-2-4" class="itemDescTD">无创正压通气疗程（天数）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402141476470786" itemCode="CSE-5-2-4"><a id="1463402141476470786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402141476470786_Note"></span></div><p title="有创机械通气" class="itemsubCat">有创机械通气</p><div class="itemTR" id="1463402143191941121_Row" dic='[{"formItemId":1463402143191941121,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402511225339905,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463402143191941121,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402511942565890,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463402143191941121,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402512903061505,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施有创机械通气</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402143191941121" itemCode="CSE-5-3-1"><a id="1463402143191941121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402143191941121_Note"></span></div><div class="itemTR" id="1463402145343619073_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者有机械通气起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402145343619073" itemCode="CSE-5-3-2"><a id="1463402145343619073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402145343619073_Note"></span></div><div class="itemTR" id="1463402147289776129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者有机械通气终止日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402147289776129" itemCode="CSE-5-3-3"><a id="1463402147289776129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402147289776129_Note"></span></div><div class="itemTR" id="1463402149076549634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-5-3-4" class="itemDescTD">有机械通气疗程（天数）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402149076549634" itemCode="CSE-5-3-4"><a id="1463402149076549634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402149076549634_Note"></span></div><p title="AEDs血药浓度监测" class="itemsubCat">AEDs血药浓度监测</p><div class="itemTR" id="1725343796062863361_Row" dic='[{"formItemId":1725343796062863361,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1725343825116807170,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725343796062863361,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1725343825158750210,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-5-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行AEDs血药浓度监测</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725343796062863361" itemCode="CSE-5-4-1"></div><a id="1725343796062863361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725343796062863361_Note"></span></div><div class="itemTR" id="1725343796251607042_Row" dic='[{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1725343825251024897,"indNo":1,"isActive":1,"desc":"监测血/尿丙戊酸钠药物浓度"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1725343825292967937,"indNo":2,"isActive":1,"desc":"监测血/尿苯巴比妥浓度"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1725343825334910977,"indNo":3,"isActive":1,"desc":"监测血/尿卡马西平浓度"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1725343825381048322,"indNo":4,"isActive":1,"desc":"监测血/尿苯妥英钠浓度"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1725343825418797057,"indNo":5,"isActive":1,"desc":"其他药物浓度"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1725343825460740098,"indNo":6,"isActive":1,"desc":"未使用抗癫痫药物，无需监测"},{"formItemId":1725343796251607042,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1725343825502683137,"indNo":7,"isActive":1,"desc":"未进行监测"}]'><div style="display:inline-block;width:35%;" title="CSE-5-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血/尿药物浓度筛查</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725343796251607042" itemCode="CSE-5-4-2"></div><a id="1725343796251607042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725343796251607042_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('CSE-6: 完成病因学检查情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-6: 完成病因学检查情况</div><div title="CSE-6: 完成病因学检查情况"><p title="急诊,或入院后首次头部影像学检查" class="itemsubCat">急诊,或入院后首次头部影像学检查</p><div class="itemTR" id="1463402150880100354_Row" dic='[{"formItemId":1463402150880100354,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402514119409665,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402150880100354,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402514727583746,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次头部影像学检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402150880100354" itemCode="CSE-6-1-1"></div><a id="1463402150880100354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402150880100354_Note"></span></div><div class="itemTR" id="1463402152582987778_Row" dic='[{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402515977486337,"indNo":1,"isActive":1,"desc":"计算机断层扫描-非增强（NECT）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402516585660418,"indNo":2,"isActive":1,"desc":"CT灌注成像（CTP）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402517265137665,"indNo":3,"isActive":1,"desc":"CT血管成像（CTA）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402517923643393,"indNo":4,"isActive":1,"desc":"非增强磁共振（NEMR）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402518523428865,"indNo":5,"isActive":1,"desc":"MR扩散加权成像（DWI）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402519131602946,"indNo":6,"isActive":1,"desc":"MR灌注加权成像（PWI）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402519756554242,"indNo":7,"isActive":1,"desc":"磁共振血管造影（MRA）"},{"formItemId":1463402152582987778,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402520612192258,"indNo":8,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-6-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>头部影像学检查项目</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402152582987778" itemCode="CSE-6-1-4"></div><a id="1463402152582987778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402152582987778_Note"></span></div><div class="itemTR" id="1463402154285875201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-6-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402154285875201" itemCode="CSE-6-1-3"><a id="1463402154285875201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402154285875201_Note"></span></div><p title="急诊,或入院后首次脑脊液检查" class="itemsubCat">急诊,或入院后首次脑脊液检查</p><div class="itemTR" id="1463402155980374017_Row" dic='[{"formItemId":1463402155980374017,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402521920815105,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402155980374017,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402524026355713,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施首次脑脊液检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402155980374017" itemCode="CSE-6-2-1"></div><a id="1463402155980374017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402155980374017_Note"></span></div><div class="itemTR" id="1463402157746176001_Row" dic='[{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402526421303298,"indNo":1,"isActive":1,"desc":"脑脊液常规"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402527025283073,"indNo":2,"isActive":1,"desc":"脑脊液生化"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402527646040065,"indNo":3,"isActive":1,"desc":"脑脊液病原学"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402528258408450,"indNo":4,"isActive":1,"desc":"脑脊液肿瘤细胞"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402528874971138,"indNo":5,"isActive":1,"desc":"脑脊液抗肿瘤抗体"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402529504116737,"indNo":6,"isActive":1,"desc":"脑脊液自身抗体"},{"formItemId":1463402157746176001,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402530116485121,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-6-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脑脊液检查项目</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402157746176001" itemCode="CSE-6-2-2"></div><a id="1463402157746176001_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402157746176001_Note"></span></div><div class="itemTR" id="1463402159642001410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-6-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402159642001410" itemCode="CSE-6-2-3"><a id="1463402159642001410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402159642001410_Note"></span></div><p title="癫痫相关既往史" class="itemsubCat">癫痫相关既往史</p><div class="itemTR" id="1463402161365860354_Row" dic='[{"formItemId":1463402161365860354,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402531471245314,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402161365860354,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402532175888386,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往是否诊断癫痫</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402161365860354" itemCode="CSE-6-3-1"></div><a id="1463402161365860354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402161365860354_Note"></span></div><div class="itemTR" id="1463402164062797825_Row" dic='[{"formItemId":1463402164062797825,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402533631311873,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402164062797825,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402534331760641,"indNo":2,"isActive":1,"desc":"两年以上无发作"},{"formItemId":1463402164062797825,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402534960906241,"indNo":3,"isActive":1,"desc":"一年以上，两年以内无发作"},{"formItemId":1463402164062797825,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402535611023361,"indNo":4,"isActive":1,"desc":"近一年仍有发作"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>近期发作情况为</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402164062797825" itemCode="CSE-6-3-6"><a id="1463402164062797825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402164062797825_Note"></span></div><div class="itemTR" id="1463402166327721985_Row" dic='[{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402536969977857,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402537586540546,"indNo":2,"isActive":1,"desc":"平均每日至少1次发作"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402538295377922,"indNo":3,"isActive":1,"desc":"平均每周至少1次发作"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402538928717825,"indNo":4,"isActive":1,"desc":"平均每月至少1次发作"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402539578834946,"indNo":5,"isActive":1,"desc":"平均每3月至少1次发作"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402540224757762,"indNo":6,"isActive":1,"desc":"平均每半年至少1次发作"},{"formItemId":1463402166327721985,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402540849709058,"indNo":7,"isActive":1,"desc":"近1年内仅1次发作"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>具体发作频率为</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402166327721985" itemCode="CSE-6-3-7"><a id="1463402166327721985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402166327721985_Note"></span></div><div class="itemTR" id="1463402168009637889_Row" dic='[{"formItemId":1463402168009637889,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402542246412290,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402168009637889,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402542892335106,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402168009637889,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402543517286401,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作是否为局灶起源</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402168009637889" itemCode="CSE-6-3-3"><a id="1463402168009637889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402168009637889_Note"></span></div><div class="itemTR" id="1463402169683165186_Row" dic='[{"formItemId":1463402169683165186,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402544792354818,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402169683165186,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402545492803585,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402169683165186,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402546449104897,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作是否伴知觉障碍</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402169683165186" itemCode="CSE-6-3-4"><a id="1463402169683165186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402169683165186_Note"></span></div><div class="itemTR" id="1463402171369275394_Row" dic='[{"formItemId":1463402171369275394,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402547657064450,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402171369275394,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402548407844866,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402171369275394,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402549057961985,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作是否以运动症状起病</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402171369275394" itemCode="CSE-6-3-5"><a id="1463402171369275394_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402171369275394_Note"></span></div><div class="itemTR" id="1463402173151854593_Row" dic='[{"formItemId":1463402173151854593,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402550341419010,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402173151854593,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402550995730433,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402173151854593,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402551612293121,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作是否为全面起源</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402173151854593" itemCode="CSE-6-3-8"><a id="1463402173151854593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402173151854593_Note"></span></div><div class="itemTR" id="1463402174829576193_Row" dic='[{"formItemId":1463402174829576193,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402552866390018,"indNo":1,"isActive":1,"desc":"运动"},{"formItemId":1463402174829576193,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402553512312833,"indNo":2,"isActive":1,"desc":"非运动（失神）"},{"formItemId":1463402174829576193,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402554137264130,"indNo":3,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作包含何种表现</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402174829576193" itemCode="CSE-6-3-9"></div><a id="1463402174829576193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402174829576193_Note"></span></div><div class="itemTR" id="1463402176519880705_Row" dic='[{"formItemId":1463402176519880705,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402555420721153,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402176519880705,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402556024700930,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402176519880705,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402556645457921,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发作是否为未知起源（指发作起源被错过或掩盖）</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402176519880705" itemCode="CSE-6-3-10"><a id="1463402176519880705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402176519880705_Note"></span></div><div class="itemTR" id="1463402178281488386_Row" dic='[{"formItemId":1463402178281488386,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402557874388993,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402178281488386,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402558507728898,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402178281488386,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402559120097282,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否为不能分类的癫痫发作（根据现有信息无法分类的发作）</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402178281488386" itemCode="CSE-6-3-11"><a id="1463402178281488386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402178281488386_Note"></span></div><div class="itemTR" id="1463402180181508097_Row" dic='[{"formItemId":1463402180181508097,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402560332251138,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402180181508097,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402560936230914,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402180181508097,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402561556987905,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否服用过抗癫痫药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402180181508097" itemCode="CSE-6-3-12"><a id="1463402180181508097_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402180181508097_Note"></span></div><div class="itemTR" id="1463402182056361986_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次使用抗癫痫药物日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402182056361986" itemCode="CSE-6-3-2"><a id="1463402182056361986_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402182056361986_Note"></span></div><div class="itemTR" id="1463402183897661442_Row" dic='[{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402562798501889,"indNo":1,"isActive":1,"desc":"丙戊酸"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402564342005762,"indNo":2,"isActive":1,"desc":"左乙拉西坦"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402564992122882,"indNo":3,"isActive":1,"desc":"奥卡西平"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402565600296961,"indNo":4,"isActive":1,"desc":"卡马西平"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402566204276738,"indNo":5,"isActive":1,"desc":"拉莫三嗪"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402566820839426,"indNo":6,"isActive":1,"desc":"托吡酯"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"g","id":1463402567441596418,"indNo":7,"isActive":1,"desc":"苯巴比妥"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"h","id":1463402568104296450,"indNo":8,"isActive":1,"desc":"苯妥英"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"oth","id":1463402568720859137,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1463402183897661442,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402569329033217,"indNo":10,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用的抗癫痫药物种类</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402183897661442" itemCode="CSE-6-3-13"></div><a id="1463402183897661442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402183897661442_Note"></span></div><div class="itemTR" id="1463402185613131777_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-6-3-13-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他抗癫痫药物种类</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402185613131777" itemCode="CSE-6-3-13-1"><a id="1463402185613131777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402185613131777_Note"></span></div><div class="itemTR" id="1463402187387322369_Row" dic='[{"formItemId":1463402187387322369,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402570557964290,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402187387322369,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402571312939010,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402187387322369,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402571925307394,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否目前正在使用此药，并且已连续规律使用三个月及以上</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402187387322369" itemCode="CSE-6-3-14"><a id="1463402187387322369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402187387322369_Note"></span></div><div class="itemTR" id="1463402189111181314_Row" dic='[{"formItemId":1463402189111181314,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402573191987202,"indNo":3,"isActive":1,"desc":"无记录"},{"formItemId":1463402189111181314,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402573816938497,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402189111181314,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402574433501186,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-6-3-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往或者现在使用此药期间是否有严重不良事件</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402189111181314" itemCode="CSE-6-3-15"><a id="1463402189111181314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402189111181314_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('CSE-7: 住院期间为患者提供治疗前、治疗后健康教育与出院教育告知五项要素情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-7: 住院期间为患者提供治疗前、治疗后健康教育与出院教育告知五项要素情况</div><div title="CSE-7: 住院期间为患者提供治疗前、治疗后健康教育与出院教育告知五项要素情况"><p title="入院时重点护理评估有记录" class="itemsubCat">入院时重点护理评估有记录</p><div class="itemTR" id="1463402191027978242_Row" dic='[{"formItemId":1463402191027978242,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402575662432257,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402191027978242,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402576274800641,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否入院时进行重点护理评估且有记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402191027978242" itemCode="CSE-7-1-0"></div><a id="1463402191027978242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402191027978242_Note"></span></div><div class="itemTR" id="1463402194144346114_Row" dic='[{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402577495343106,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402578116100097,"indNo":2,"isActive":1,"desc":"自行走入院"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402578736857089,"indNo":3,"isActive":1,"desc":"跛行"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402579349225473,"indNo":4,"isActive":1,"desc":"扶拐"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402579969982466,"indNo":5,"isActive":1,"desc":"平车"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402580590739457,"indNo":6,"isActive":1,"desc":"轮椅"},{"formItemId":1463402194144346114,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402581198913537,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>行走评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402194144346114" itemCode="CSE-7-1-1"><a id="1463402194144346114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402194144346114_Note"></span></div><div class="itemTR" id="1463402196153417729_Row" dic='[{"formItemId":1463402196153417729,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402582696280065,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402196153417729,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402583308648449,"indNo":2,"isActive":1,"desc":"经鼻呼吸(正常呼吸)"},{"formItemId":1463402196153417729,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402583933599745,"indNo":3,"isActive":1,"desc":"张口呼吸"},{"formItemId":1463402196153417729,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402584545968130,"indNo":4,"isActive":1,"desc":"异常呼吸"},{"formItemId":1463402196153417729,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402585158336513,"indNo":5,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>呼吸评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402196153417729" itemCode="CSE-7-1-2"><a id="1463402196153417729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402196153417729_Note"></span></div><div class="itemTR" id="1463402198099574785_Row" dic='[{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402586399850498,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402587024801794,"indNo":2,"isActive":1,"desc":"正常饮食"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402587708473346,"indNo":3,"isActive":1,"desc":"软食"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402588362784770,"indNo":4,"isActive":1,"desc":"半流食"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402588979347458,"indNo":5,"isActive":1,"desc":"流食"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402589587521538,"indNo":6,"isActive":1,"desc":"管饲食"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"f","id":1463402590191501314,"indNo":7,"isActive":1,"desc":"禁食水"},{"formItemId":1463402198099574785,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402590808064001,"indNo":8,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>饮食评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402198099574785" itemCode="CSE-7-1-3"><a id="1463402198099574785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402198099574785_Note"></span></div><div class="itemTR" id="1463402199764713474_Row" dic='[{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402592036995074,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402592678723585,"indNo":2,"isActive":1,"desc":"Ⅰ级：可一口喝完，无噎呛"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402593291091970,"indNo":3,"isActive":1,"desc":"Ⅱ级：分两次以上喝完，无噎呛"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402593903460353,"indNo":4,"isActive":1,"desc":"Ⅲ级：能一次喝完，但有噎呛"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402594520023042,"indNo":5,"isActive":1,"desc":"Ⅳ级：分两次以上喝完，且有噎呛"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402595132391426,"indNo":6,"isActive":1,"desc":"Ⅴ级：常常呛住，难以全部喝完"},{"formItemId":1463402199764713474,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402595748954114,"indNo":7,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>吞咽评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402199764713474" itemCode="CSE-7-1-4"><a id="1463402199764713474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402199764713474_Note"></span></div><div class="itemTR" id="1463402201467600898_Row" dic='[{"formItemId":1463402201467600898,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402597393121281,"indNo":1,"isActive":1,"desc":"压疮评估分值无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-5-0" class="itemDescTD">压疮评估（Braden评分值）分值</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402201467600898" itemCode="CSE-7-1-5-0"></div><a id="1463402201467600898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402201467600898_Note"></span></div><div class="itemTR" id="1463402203657027586_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-7-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>压疮评估（Braden评分值）分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402203657027586" itemCode="CSE-7-1-5"><a id="1463402203657027586_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402203657027586_Note"></span></div><div class="itemTR" id="1463402205389275137_Row" dic='[{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402598726909953,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402599439941634,"indNo":2,"isActive":1,"desc":"大于18分"},{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402600052310018,"indNo":3,"isActive":1,"desc":"轻度危机：15-18分"},{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402600958279682,"indNo":4,"isActive":1,"desc":"中度危机：13-14分"},{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402601570648065,"indNo":5,"isActive":1,"desc":"高度危机：10-12分"},{"formItemId":1463402205389275137,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402602183016449,"indNo":6,"isActive":1,"desc":"严重危机：小于等于9分"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-5-1" class="itemDescTD">压疮评估结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402205389275137" itemCode="CSE-7-1-5-1"><a id="1463402205389275137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402205389275137_Note"></span></div><div class="itemTR" id="1463402207314460674_Row" dic='[{"formItemId":1463402207314460674,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402603411947521,"indNo":1,"isActive":1,"desc":"告知预防压疮"},{"formItemId":1463402207314460674,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402604032704513,"indNo":2,"isActive":1,"desc":"未告知预防压疮"},{"formItemId":1463402207314460674,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402604649267202,"indNo":3,"isActive":1,"desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防压疮告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402207314460674" itemCode="CSE-7-1-5-2"><a id="1463402207314460674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402207314460674_Note"></span></div><div class="itemTR" id="1463402209004765186_Row" dic='[{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"a","id":1463402605974667265,"indNo":1,"isActive":1,"desc":"抗癫痫药物的规律使用"},{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402607644000258,"indNo":2,"isActive":1,"desc":"避免高空等危险环境，出行需人陪伴"},{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402608268951554,"indNo":3,"isActive":1,"desc":"发生癫痫持续状态院外急救措施宣教"},{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"d","id":1463402608910680065,"indNo":4,"isActive":1,"desc":"避免接触癫痫持续状态发生诱因"},{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"e","id":1463402609523048449,"indNo":5,"isActive":1,"desc":"出院后康复训练"},{"formItemId":1463402209004765186,"isDefault":0,"updateDate":1700444857000,"code":"UTD","id":1463402610139611137,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施癫痫持续状态健康教育有记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402209004765186" itemCode="CSE-7-1-6"></div><a id="1463402209004765186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402209004765186_Note"></span></div><p title="出院时提供教育告知五要素" class="itemsubCat">出院时提供教育告知五要素</p><div class="itemTR" id="1463402210711846914_Row" dic='[{"formItemId":1463402210711846914,"isDefault":0,"updateDate":1700444857000,"code":"y","id":1463402611351764994,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402210711846914,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402611968327681,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CSE-7-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时是否进行STESS评分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402210711846914" itemCode="CSE-7-2-1"></div><a id="1463402210711846914_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402210711846914_Note"></span></div><div class="itemTR" id="1463402212347625474_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CSE-7-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>STESS评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402212347625474" itemCode="CSE-7-2-1-1"><a id="1463402212347625474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402212347625474_Note"></span></div><div class="itemTR" id="1463402214511886338_Row" 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title="CSE-7-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>交与患者“出院小结”的副本，并告知患者出院时风险因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402214511886338" itemCode="CSE-7-2-2-1"></div><a id="1463402214511886338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402214511886338_Note"></span></div><div class="itemTR" id="1463402217716334594_Row" 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class="item-source"></a><span style="margin-left:10px;" id="1463402217716334594_Note"></span></div><div class="itemTR" id="1463402219415027713_Row" 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style="color:red">*</span>告知发生紧急情况时求援救治途径</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402219415027713" itemCode="CSE-7-2-2-3"></div><a id="1463402219415027713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402219415027713_Note"></span></div><div class="itemTR" id="1463402221063389186_Row" 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style="display:inline-block;width:35%;" title="CSE-7-2-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时教育与随访</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402221063389186" itemCode="CSE-7-2-2-4"></div><a id="1463402221063389186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402221063389186_Note"></span></div><div class="itemTR" id="1463402222778859522_Row" dic='[{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"a","matchRule":"","updateUser":"admin","id":1463402626845523969,"indNo":1,"isActive":1,"keyword":"","desc":"出院时由医护人员向患者/亲属告知应对癫痫持续状态的危险因素的策略"},{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"b","matchRule":"","updateUser":"admin","id":1463402627504029698,"indNo":2,"isActive":1,"keyword":"","desc":"告知 STESS（癫痫持续状态严重程度）评分结果"},{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"c","matchRule":"","updateUser":"admin","id":1463402628154146817,"indNo":3,"isActive":1,"keyword":"","desc":"突然出现呼之不应，意识障碍"},{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"d","matchRule":"","updateUser":"admin","id":1463402628808458241,"indNo":4,"isActive":1,"keyword":"","desc":"突然出现肢体抽搐"},{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"e","matchRule":"","updateUser":"admin","id":1463402629420826625,"indNo":5,"isActive":1,"keyword":"","desc":"突然出现异常行为"},{"formItemId":1463402222778859522,"isDefault":1,"updateDate":1704448199000,"code":"f","matchRule":"","updateUser":"admin","id":1463402630305824770,"indNo":6,"isActive":1,"keyword":"","desc":"突然出现发热、头痛，没有已知原因"},{"formItemId":1463402222778859522,"isDefault":0,"updateDate":1704448199000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463402630922387457,"indNo":7,"isActive":1,"keyword":"","desc":"无记录"}]'><div style="display:inline-block;width:35%;" title="CSE-7-2-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>告知何为风险因素与紧急情况</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402222778859522" itemCode="CSE-7-2-2-5"></div><a id="1463402222778859522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402222778859522_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('CSE-8: 离院方式')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-8: 离院方式</div><div title="CSE-8: 离院方式"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463402224574021633_Row" 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style="display:inline-block;width:35%;" title="CM-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>离院方式选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402224574021633" itemCode="CM-4-3"><a id="1463402224574021633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402224574021633_Note"></span></div><div class="itemTR" id="1463402226406932481_Row" 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style="display:inline-block;width:35%;" title="CM-4-5" class="itemDescTD">非医嘱离院可能涉及因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463402226406932481" itemCode="CM-4-5"></div><a id="1463402226406932481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402226406932481_Note"></span></div><div class="itemTR" id="1463402228155957249_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非医嘱离院因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402228155957249" itemCode="CM-4-4-1"><a id="1463402228155957249_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402228155957249_Note"></span></div><div class="itemTR" id="1463402230664151042_Row" 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style="width:35%;border:0;height:28px;line-height:28px;" id="1463402230664151042" itemCode="CM-4-6"><a id="1463402230664151042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402230664151042_Note"></span></div></div><div class="itemCat" id="Title9" onclick="objScreen.toggle('CSE-9: 患者对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-9: 患者对服务的体验与评价</div><div title="CSE-9: 患者对服务的体验与评价"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463402232375427073_Row" dic='[{"formItemId":1463402232375427073,"isDefault":1,"updateDate":1701949577000,"code":"y","updateUser":"batch","id":1463402647749935106,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463402232375427073,"isDefault":0,"updateDate":1700444857000,"code":"n","id":1463402649343770625,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463402232375427073" itemCode="CM-5-1"></div><a id="1463402232375427073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402232375427073_Note"></span></div><div class="itemTR" id="1463402234048954369_Row" dic='[{"formItemId":1463402234048954369,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402650593673218,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402234048954369,"isDefault":1,"updateDate":1701949585000,"code":"a","updateUser":"batch","id":1463402651264761858,"indNo":2,"isActive":1,"desc":"患者给医院整体评分9或10分"},{"formItemId":1463402234048954369,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402651877130242,"indNo":3,"isActive":1,"desc":"患者给医院整体评分7或8分"},{"formItemId":1463402234048954369,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402652468527105,"indNo":4,"isActive":1,"desc":"患者给医院整体评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>整体医院评级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402234048954369" itemCode="CM-5-2-1"><a id="1463402234048954369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402234048954369_Note"></span></div><div class="itemTR" id="1463402236846555138_Row" dic='[{"formItemId":1463402236846555138,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402653731012610,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402236846555138,"isDefault":1,"updateDate":1701949599000,"code":"a","updateUser":"batch","id":1463402654343380993,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1463402236846555138,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402654947360770,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1463402236846555138,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402655576506370,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者推荐</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402236846555138" itemCode="CM-5-2-2"><a id="1463402236846555138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402236846555138_Note"></span></div><div class="itemTR" id="1463402238587191298_Row" dic='[{"formItemId":1463402238587191298,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402656801243137,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402238587191298,"isDefault":1,"updateDate":1701949606000,"code":"a","updateUser":"batch","id":1463402657417805825,"indNo":2,"isActive":1,"desc":"患者说他们的房间和浴室“总是”干净"},{"formItemId":1463402238587191298,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402658051145729,"indNo":3,"isActive":1,"desc":"患者说他们的房间和浴室“经常”干净"},{"formItemId":1463402238587191298,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402658688679938,"indNo":4,"isActive":1,"desc":"患者说他们的房间和浴室“有时”或“从不”干净"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房、床单元和卫生间清洁度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402238587191298" itemCode="CM-5-2-3"><a id="1463402238587191298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402238587191298_Note"></span></div><div class="itemTR" id="1463402240273301505_Row" dic='[{"formItemId":1463402240273301505,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402660349624321,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402240273301505,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1463402660949409793,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1463402240273301505,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402661549195265,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1463402240273301505,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402662169952257,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402240273301505" itemCode="CM-5-2-5"><a id="1463402240273301505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402240273301505_Note"></span></div><div class="itemTR" id="1463402242127183874_Row" dic='[{"formItemId":1463402242127183874,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402663436632065,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402242127183874,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1463402664057389058,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463402242127183874,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402664690728962,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463402242127183874,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402665294708738,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402242127183874" itemCode="CM-5-2-6"><a id="1463402242127183874_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402242127183874_Note"></span></div><div class="itemTR" id="1463402243830071297_Row" dic='[{"formItemId":1463402243830071297,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402666506862593,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402243830071297,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463402667131813889,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463402243830071297,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402668016812033,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463402243830071297,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402668637569025,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402243830071297" itemCode="CM-5-2-7"><a id="1463402243830071297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402243830071297_Note"></span></div><div class="itemTR" id="1463402245591678978_Row" dic='[{"formItemId":1463402245591678978,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402670847967233,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402245591678978,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463402671481307138,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463402245591678978,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402672223698945,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463402245591678978,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402672836067330,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402245591678978" itemCode="CM-5-2-8"><a id="1463402245591678978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402245591678978_Note"></span></div><div class="itemTR" id="1463402247495892994_Row" dic='[{"formItemId":1463402247495892994,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402674039832577,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402247495892994,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463402674652200961,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463402247495892994,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402675277152258,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463402247495892994,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402675935657985,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402247495892994" itemCode="CM-5-2-9"><a id="1463402247495892994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402247495892994_Note"></span></div><div class="itemTR" id="1463402249232334850_Row" dic='[{"formItemId":1463402249232334850,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402677164589057,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402249232334850,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463402677755985922,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463402249232334850,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402678355771393,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463402249232334850,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402678959751169,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402249232334850" itemCode="CM-5-2-10"><a id="1463402249232334850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402249232334850_Note"></span></div><div class="itemTR" id="1463402250897473537_Row" dic='[{"formItemId":1463402250897473537,"isDefault":0,"updateDate":1700444857000,"code":"def","id":1463402680180293634,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463402250897473537,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463402680796856322,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463402250897473537,"isDefault":0,"updateDate":1700444857000,"code":"b","id":1463402681405030402,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463402250897473537,"isDefault":0,"updateDate":1700444857000,"code":"c","id":1463402682046758914,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402250897473537" itemCode="CM-5-2-11"><a id="1463402250897473537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402250897473537_Note"></span></div></div><div class="itemCat" id="Title10" onclick="objScreen.toggle('CSE-10: 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CSE-10: 住院费用</div><div title="CSE-10: 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463402252587778050_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402252587778050" itemCode="CM-6-1"><a id="1463402252587778050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402252587778050_Note"></span></div><div class="itemTR" id="1463402254261305345_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402254261305345" itemCode="CM-6-2"><a id="1463402254261305345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402254261305345_Note"></span></div><div class="itemTR" id="1463402255989358593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402255989358593" itemCode="CM-6-3"><a id="1463402255989358593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402255989358593_Note"></span></div><div class="itemTR" id="1463402258271059969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402258271059969" itemCode="CM-6-4"><a id="1463402258271059969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402258271059969_Note"></span></div><div class="itemTR" id="1463402260133330945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402260133330945" itemCode="CM-6-5"><a id="1463402260133330945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402260133330945_Note"></span></div><div class="itemTR" id="1463402261932687362_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402261932687362" itemCode="CM-6-6"><a id="1463402261932687362_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402261932687362_Note"></span></div><div class="itemTR" id="1463402263610408962_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402263610408962" itemCode="CM-6-7"><a id="1463402263610408962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402263610408962_Note"></span></div><div class="itemTR" id="1463402265346850817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402265346850817" itemCode="CM-6-8"><a id="1463402265346850817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402265346850817_Note"></span></div><div class="itemTR" id="1463402266986823681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402266986823681" itemCode="CM-6-9"><a id="1463402266986823681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402266986823681_Note"></span></div><div class="itemTR" id="1463402268672933889_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402268672933889" itemCode="CM-6-10"><a id="1463402268672933889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402268672933889_Note"></span></div><div class="itemTR" id="1463402270694588417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402270694588417" itemCode="CM-6-11"><a id="1463402270694588417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402270694588417_Note"></span></div><div class="itemTR" id="1463402272363921409_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402272363921409" itemCode="CM-6-12"><a id="1463402272363921409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402272363921409_Note"></span></div><div class="itemTR" id="1463402274087780353_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402274087780353" itemCode="CM-6-13"><a id="1463402274087780353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402274087780353_Note"></span></div><div class="itemTR" id="1463402275744530433_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402275744530433" itemCode="CM-6-14"><a id="1463402275744530433_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402275744530433_Note"></span></div><div class="itemTR" id="1463402277434834945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402277434834945" itemCode="CM-6-15"><a id="1463402277434834945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402277434834945_Note"></span></div><div class="itemTR" id="1463402279288717313_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402279288717313" itemCode="CM-6-16"><a id="1463402279288717313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402279288717313_Note"></span></div><div class="itemTR" id="1463402281037742082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402281037742082" itemCode="CM-6-17"><a id="1463402281037742082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402281037742082_Note"></span></div><div class="itemTR" id="1463402282920984577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402282920984577" itemCode="CM-6-18"><a id="1463402282920984577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402282920984577_Note"></span></div><div class="itemTR" id="1463402284720340994_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402284720340994" itemCode="CM-6-19"><a id="1463402284720340994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402284720340994_Note"></span></div><div class="itemTR" id="1463402286465171458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402286465171458" itemCode="CM-6-20"><a id="1463402286465171458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402286465171458_Note"></span></div><div class="itemTR" id="1463402288159670273_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402288159670273" itemCode="CM-6-21"><a id="1463402288159670273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402288159670273_Note"></span></div><div class="itemTR" id="1463402289896112129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402289896112129" itemCode="CM-6-22"><a id="1463402289896112129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402289896112129_Note"></span></div><div class="itemTR" id="1463402291611582466_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402291611582466" itemCode="CM-6-23"><a id="1463402291611582466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402291611582466_Note"></span></div><div class="itemTR" id="1463402293306081282_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402293306081282" itemCode="CM-6-24"><a id="1463402293306081282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402293306081282_Note"></span></div><div class="itemTR" id="1463402294950248449_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402294950248449" itemCode="CM-6-25"><a id="1463402294950248449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402294950248449_Note"></span></div><div class="itemTR" id="1463402297160646658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402297160646658" itemCode="CM-6-26"><a id="1463402297160646658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402297160646658_Note"></span></div><div class="itemTR" id="1463402299136163841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402299136163841" itemCode="CM-6-27"><a id="1463402299136163841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402299136163841_Note"></span></div><div class="itemTR" id="1463402300927131649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402300927131649" itemCode="CM-6-28"><a id="1463402300927131649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402300927131649_Note"></span></div><div class="itemTR" id="1463402302751653890_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402302751653890" itemCode="CM-6-29"><a id="1463402302751653890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402302751653890_Note"></span></div><div class="itemTR" id="1463402304429375489_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463402304429375489" itemCode="CM-6-30"><a id="1463402304429375489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463402304429375489_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息 </a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>CSE-1:急诊救治绿色通道使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>CSE-2: 初始治疗方案</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>CSE-3: 初始方案评价失败后第二阶段静脉治疗方案</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>CSE-4: 难治性癫痫持续状态麻醉药物应用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>CSE-5: 入ICU和提供相应生命支持情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>CSE-6: 完成病因学检查情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>CSE-7: 住院期间为患者提供治疗前、治疗后健康教育与出院教育告知五项要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>CSE-8: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>CSE-9: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>CSE-10: 住院费用</a></li></ul></div>
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